Retail β’ Pharmacy Benefits Management β’ Health Insurance β’ Health Care β’ Pharmacy
10,000+
4 days ago
πΊπΈ United States β Remote
π΅ $26 - $56 / hour
β° Full Time
π‘ Mid-level
π Senior
πΌ Consultant
Retail β’ Pharmacy Benefits Management β’ Health Insurance β’ Health Care β’ Pharmacy
10,000+
β’ Remote Utilization Management Nurse Consultant role involves 4 ten-hour shifts weekly. β’ Responsible for coordinating, documenting, and communicating utilization management programs. β’ Evaluate options to facilitate appropriate healthcare services for members. β’ Collaborate with providers to ensure optimal care delivery. β’ Assesses clinical information using established criteria for coverage determination.
β’ 3+ years of experience as a Registered Nurse. β’ Active RN licensure in state of residence. β’ 1+ years of clinical experience in acute or post acute setting. β’ Strong technology skills with Excel (preferred). β’ Managed Care experience (preferred).
β’ Full range of medical, dental, and vision benefits. β’ 401(k) retirement savings plan. β’ Employee Stock Purchase Plan. β’ Fully-paid term life insurance plan. β’ Short-term and long term disability benefits. β’ Well-being programs. β’ Education assistance and free development courses. β’ CVS store discount and discount programs.
Apply Now4 days ago
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